Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $995.00 / $995.00	Facility		$995.00	$995.00	$995.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.00 / $995.00 / $1,527.08	Professional		$995.00	$995.00	$1,527.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,358.68 / $2,739.35 / $3,551.01	Facility		$1,358.68	$2,739.35	$3,551.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.95 / $1,463.20 / $2,508.34	Professional		$1,318.95	$1,463.20	$2,508.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,449.55	Facility		$1,650.90	$1,650.90	$2,449.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $9,973.16	Professional		$1,403.27	$1,650.90	$9,973.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58,900.53 / $58,900.53 / $58,900.53	Facility		$58,900.53	$58,900.53	$58,900.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $1,224.69 / $2,211.31	Facility		$1,224.69	$1,224.69	$2,211.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.32 / $1,890.86 / $2,361.17	Professional		$1,012.32	$1,890.86	$2,361.17